HomeMy WebLinkAbout205 1/2 W 4th St - Building
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
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Application Number
Applicatlon pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application type descrlptlon
Subdlvision Name
Property Use
Property Zoning . . .
Appllcation valuatlon
06-00000754 Date
945232
205 1/2 W 4TH ST
06-30-00-0-0-7175-0000-
JON WEBSTER
RE-ROOF
7/13/06
UNKNOWN
1004
AA/ALEL/
9/11 /tJ~
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Owner
Contractor
JON C WEBSTER/TERRI LYN CARR
205 W 4TH ST
PORT ANGELES WA 983622807
OWNER
Permit . . . . .
Additional desc .
Permit pin number
Permlt Fee
Issue Date
Expiration Date
BUILDING PERMIT - NO PR FEE
82388
68.30
7/13/06
1/09/07
Plan Check Fee
Valuation
.00
1004
Qty Unit Charge Per
Extenslon
50.00
18.30
BASE FEE
6.00 3.0500 HND BL-501-2K (3.05 PER C)
Other Fees
STATE SURCHARGE
4.50
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 68.30 68.30 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 72.80 72.80 .00 .00
Date
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Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Signature of Contractor or Authorized Agent
Date
T \Pohcles\1102_15 bUlldmg permIt mspectIon record05 wpd [1/4/2005]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
CALL 417-4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES I NO
FOUNDATION:
FOOTINGS
SHEAR WALLS 1 WALLS
FOUNDATION DRAINAGE 1 DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE FINAL DATE ACCEPTED BY:
BACK FLOW 1 WATER
AIR SEAL
WALLS I
CEILING I I
FRAMING
JOISTS 1 GIRDERS
SHEAR WALLIHOLD DOWNS
WALLS 1 ROOF 1 CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING I
MECHANICAL
HEAT PUMP 1 FURNACE 1 DUCTS
GAS LINE
WOOD STOVE 1 PELLET 1 CHIMNEY FINAL DATE ACCEPTED BY:
COMMERCIAL HOOD 1 DUCTS
MANUFACTURED HOMES
FOOTING 1 SLAB
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING DEPT SEP ARA TE PERMIT #'5 SEPA
P ARKING/LIGHTING ESA-
LANDSCAPING SHORELINE
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R W 1 PW 1 CONSTRUCTION - R W.
ENGINEERING 4174807 PW 1 ENGINEERING
FIRE 417-4653 FIRE DEPT
PLANNING DEPT 417-4750 _1 I ~ - >- PLANNING DEPT
BUILDING 4]7-4815 <orf /l1/llli Vw BUILDING
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T IPo!lclesl1102_]5 bUl]dlng penmt inspectIon record05 wpd [1/4/2005]
PREPARED 9/11/06, 8 40 04
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR: JAMES L LIERLY
PAGE
DATE
9
9/11/06
ADDRESS
TENANT, NBR
CONTRACTOR
OWNER
PARCEL
APPL NUMBER:
205 1/2 W 4TH ST
JON WEBSTER
SUBDIV-
JON C WEBSTER/TERRI LYN CARR
06-30-00-0-0-7175-0000-
06-00000754 RE-ROOF
PHONE
PHONE
PERMIT: BNOP 00 BUILDING PERMIT - NO PR FEE
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
Lasere(j
CED
BL99 01
If;-
-------------------------------------- COMMENTS AND NOTES --------------------------------------
9/1~/r
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BUILDING FINAL
JOHN 670-3634
09/11/2006 08 11
TIME
13 00
AM
DYASUMUR
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Date Issued -
BUILDING PERMIT - APPLICATION
Fill out COMPLETELY and in INK. Your application and site plan MUST BE
COMPLETE to be accepted for review. If you have any questions, call
PERMITS (360) 417-4815 FAX(360)417-4711
Apphcant or Agent- 0D~\ Q. ~')1:tY~\i:;'-<~-- Phone.j~O) tfS [}-- ~lOv>
Owner: ;Jn~) c f u)~~~r Phone:(~> 46~~~(o 6
Address: ao~ \.C)/fft+ 6T City~r-~l\jC~ ~~; l' ~1tA ZIp: Qifx.rzt0 Q_
ArchItect/Engineer.--bJ / t!\ Phone,
Con1ractor ~ d Stite LIcense #._~Vf\- Exp: Phone.
Address:_tx _ }1fOJ'E.. CIty:' Zip'
-') c,r-- \J. ,\ I J T' c-
PROJECT ADDRESS' Qu. ~) rG...., W \ ~ (I e-.0V . ZONING:
LEGAL DESCRIPTION: Lot' Block. SubdivIsion:
CLALLAM COUNTY PARCEL NUMBER:
TI'PE OF WORK:
~ ResIdentIal D New Constr. ~ Re-roof D Stove
o MultI-family D AddItIOn D MoveD Garage
o Commercial D Remodel D DemolItlOn D Deck
o Reparr D SIgn D Other
BRIEF DESCRIPTION OF THE PROJECT:
SIZEN ALUATION:
SF @ $ /SF = $
SF @ $ /SF, = $
SF, @$ /SF = $
TOTAL VALUATION $
i t)()~~
,
COMMERCIAL/RESIDENTIAL: Occupancy Group:
No, of Stories: Lot SIZe: Existing Sq Ft.
Total lot coverage %
Occupant Load:
& Proposed Sq. Ft
Construction Type,
= TOTAL Sq Ft.
PLANNING USE ONLY: APPROVALS:
PLAN:
BLDG:
DPWU:
ESAlWetland(s): DYes 0 No SEP A ChecklIst requrred? 0 Yes D No Other FIRE:
OTHER: -
VALUATION OF CONSTRUCTION In all cases, a valuation amount must be entered by the applIcant.
This figure will be revlewed and may be revIsed by the Building DIvision to comply with current fee schedules, Contact the Penmt
Coordmator at 417-4815 for asslstance.
PLAN CHECK FEE: IF a plan check fee IS due it must be subrmtted at the tlIDe the buildmg peTIDlt applIcatlOn and construction plans are
subIDltted. All other peTIDlt fees are due at the tlIDe of permit issuance.
EXPIRATION OF PLAN REVIEW: If no permit is Issued WIthin 180 days ofthe date of applicatlOn, the application will expire. The
Buildmg Official can extend the tlIDe for actlOn by the applicant up to 180 days upon wntten request by the applicant (see SectIon
R105.3.2 of the InternatlOnal Buildmg/Residentml Code, 2003). No application can be extended more than once.
I hereby certify that I have read and examined this application and know the same to be true and correct. J am authorized to
apply for this permit and understand that it is my responsibility to determine what permits are required ,not the City's, and that I
must obtain such permits prior to w~ ~_j / ~ I
T\FORMSIBldgPoroitlTIrrn wpd APPli_:T~ 1 Dat" [J t - ) 3 - d..iJl/p
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N? 16393
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Port Angeles, Washlngton.umu:7uum..___:.:2.......____.mmmmmmm..., 19./.../
In accordance with the City Ordinance to regulate the installation, extension, or repair of elec-
trical equipment in, on, or about any building or other structure In the City of Port Angeles, per-
mission Is hereby granted to d6 electrical work as listed below.
Address oo.oo,Qrj.s..J1.~l:f!_,_ff:'__m..oo.oooo.mm____m.oom.m. Occupancy.oom,._-i.,~oo".;J.;",._m_____oo_______oo.oo
. -'''/'!:' ~ G'';'1-,'''' ,'r
Owner ..m~_:::.~;~_~~.:~......:.~~-{_!-m;,l~~:.:::;~~:?-:.'?-.~--~um Tenantn......__m......u__......m____mmnn___________.___.mu__..
Wiring Contractor oo'-!:L::.~,-'-.!?.~.:.~oommm_oooomoooo_________oooooo By_oooo.mm.oommmoommm.oooooom_____oomoom.____oom
/..10/.;""Ci
Service. volts .........::........_.........~.:......
No. wires ______nn:J.n~__.___......._......
.,F/. . '1;."
Size wires..__m.!.'/..';'-:..___t!_:__......_n
-jt:NA
Main fuse ....m.!'_....~:.~:..!._.!:...._._...
Light Outlets..........................._..__.___....
Receptacle Outletsn___mm.m_...............
Dryer, KW._nuu......._n__h__n____...n____...
Range, KW h..._..__n.........._________._n
Water Heater:
Enclosure h..._-;-;?..........h.....n_.._.....
KW.mm_____________________________n______n.
'_~'" b' ~I<
Heat: KW.......~_!.m.Ltf...!.h~nEt_.u._
. I -.' c __
Motors: size. volts and phase:
Type of wiring:
Entrance Cable ......nn
Rigid Conduit m...h.......................
Metallic TUbing ..._.000000..........._....
Current transformers:
No. & Size..__n....nn___..n___....n
Ser. NO............nn..............................
Ser. No. ......._nnn_...........__._........_.._...
Ser. NO............_......................h..._..._.
Type 01 Wiring:
Armored Cable .._...........................
Non-Metallic ._.......m___.....__mm.....
Knob & Tube.....h..h.......................
Rigid Conduit nnm_m_mm_m______n_
Metalll. Tubing n_____.m.__n_.________.
Raceway _.._____.__.__._..............._....._
Circuits. Light.n......mm_.......................
Utmty _____.______....____..__............m__nn
JIeat ....h................._..._.........._.._..
Range ....._____._.......____.___.._..._.._._......
Water Heater .....................m.mn.
Motor .h_....................__.........__.......
Dryer ....nn..h...................__........_.._..._
Furnace ....n._..h............._______..__..n......
Total wad.........__...._............. Ser. No. ..00_......0000_._...00__.00_............... Total .................n......___nnnn...
Remarks: _______./.l.t.:,1-.,__-!,"'"~~~...c'__m____'_-;Y?<r____y:__~!!!':'.~.__mm___________.m__m_____m.m__mmoom________
- ,
Permit Fee
Treas. Receipt
NO.____....__......___......m
0/ ,/~Jj. .f} /7
~1 j J'"-' ~ JV:r .. / "'..., ,~/../
By .__!j~_.___::__:...__..___~:.:.:..:_:_:._~:_::~!~:::r:!!:~'?~:.~~....__.__
$m__.....m_____m___._____oo____..
NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It work is to be con.
cealed due notice must be given the Inspector so that work may be inspected before concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
,/
ELECTRICAL PERMIT
Address
N?
16393
Owner ........n_.n_.nnnn......_.._._........n_......_......_.._.......................n.._.............h..........._nn Tenant._._.................h.h_.n_......h.n.................h.......
Date.h_......_.._U...._.........._d...._.................
Wiring Contractor._..___.hnnn.._................_.....................................................n..........__n......hn__nn By..............................................................
1
NOTIC~urrent must not be turned on until Certificate ot Inspection has been issued. If work is to be con-
cealed due notice must be given the Inspector so that work may be inspected before concealment. -.
1M Olympic Printers, Inc.